0001104659-14-009588.txt : 20140213
0001104659-14-009588.hdr.sgml : 20140213
20140213114905
ACCESSION NUMBER: 0001104659-14-009588
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20140211
FILED AS OF DATE: 20140213
DATE AS OF CHANGE: 20140213
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Egalet Corp
CENTRAL INDEX KEY: 0001586105
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 463575334
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 101 LINDENWOOD DRIVE
STREET 2: SUITE 225
CITY: MALVERN
STATE: PA
ZIP: 19355
BUSINESS PHONE: 484-875-3095
MAIL ADDRESS:
STREET 1: 101 LINDENWOOD DRIVE
STREET 2: SUITE 225
CITY: MALVERN
STATE: PA
ZIP: 19355
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: INDEX VENTURES LIFE VI (JERSEY) L.P.
CENTRAL INDEX KEY: 0001591199
STATE OF INCORPORATION: Y9
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36295
FILM NUMBER: 14604048
BUSINESS ADDRESS:
STREET 1: OGIER HOUSE
STREET 2: THE ESPLANADE
CITY: ST. HELIER
STATE: Y9
ZIP: JE4 9WG
BUSINESS PHONE: 44-1534-504000
MAIL ADDRESS:
STREET 1: OGIER HOUSE
STREET 2: THE ESPLANADE
CITY: ST. HELIER
STATE: Y9
ZIP: JE4 9WG
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Yucca (Jersey) SLP
CENTRAL INDEX KEY: 0001591294
STATE OF INCORPORATION: Y9
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36295
FILM NUMBER: 14604049
BUSINESS ADDRESS:
STREET 1: OGIER HOUSE
STREET 2: THE ESPLANADE
CITY: ST. HELIER
STATE: Y9
ZIP: JE4 9WG
BUSINESS PHONE: 44-0-1534-833400
MAIL ADDRESS:
STREET 1: NO. 1 SEATON PLACE
CITY: ST. HELIER
STATE: Y9
ZIP: Y9 JE48YJ
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Index Ventures III Parallel Entrepreneur Fund (Jersey) L.P.
CENTRAL INDEX KEY: 0001503681
STATE OF INCORPORATION: Y9
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36295
FILM NUMBER: 14604050
BUSINESS ADDRESS:
STREET 1: NO. 1 SEATON PLACE
CITY: ST. HELIER
STATE: Y9
ZIP: JE4 8YJ
BUSINESS PHONE: 441534605643
MAIL ADDRESS:
STREET 1: NO. 1 SEATON PLACE
CITY: ST. HELIER
STATE: Y9
ZIP: JE4 8YJ
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Index Ventures III (Delaware) L.P.
CENTRAL INDEX KEY: 0001402023
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36295
FILM NUMBER: 14604051
BUSINESS ADDRESS:
STREET 1: C/O AEGERION PHARMACEUTICALS, INC.
STREET 2: 1140 ROUTE 22 EAST, SUITE 304
CITY: BRIDGEWATER
STATE: NJ
ZIP: 08807
BUSINESS PHONE: (908) 704-1300
MAIL ADDRESS:
STREET 1: C/O AEGERION PHARMACEUTICALS, INC.
STREET 2: 1140 ROUTE 22 EAST, SUITE 304
CITY: BRIDGEWATER
STATE: NJ
ZIP: 08807
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Index Ventures III (Jersey) L.P.
CENTRAL INDEX KEY: 0001503686
STATE OF INCORPORATION: Y9
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36295
FILM NUMBER: 14604052
BUSINESS ADDRESS:
STREET 1: NO.1 SEATON PLACE
CITY: ST. HELIER
STATE: Y9
ZIP: JE4 8YJ
BUSINESS PHONE: 441534605643
MAIL ADDRESS:
STREET 1: NO.1 SEATON PLACE
CITY: ST. HELIER
STATE: Y9
ZIP: JE4 8YJ
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Index Venture Associates III Ltd
CENTRAL INDEX KEY: 0001503683
STATE OF INCORPORATION: Y9
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36295
FILM NUMBER: 14604053
BUSINESS ADDRESS:
STREET 1: NO. 1 SEATON PLACE
CITY: ST. HELIER
STATE: Y9
ZIP: JE 8YJ
BUSINESS PHONE: 441534605643
MAIL ADDRESS:
STREET 1: NO. 1 SEATON PLACE
CITY: ST. HELIER
STATE: Y9
ZIP: JE 8YJ
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Common Stock
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83377
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Common Stock
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2014-02-11
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Common Stock
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Common Stock
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Common Stock
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Common Stock
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2014-02-11
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Common Stock
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Series B Preferred Stock
2014-02-11
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Common Stock
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Series B-1 Preferred Stock
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Common Stock
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Common Stock
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Subordinated Convertible Debt
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2014-02-11
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0
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Common Stock
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Senior Convertible Debt
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2014-02-11
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Common Stock
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2014-02-11
4
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0
1600
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Common Stock
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2014-02-11
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Common Stock
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4
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2014-02-11
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Common Stock
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Common Stock
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0
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Common Stock
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Senior Convertible Debt
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These securities are owned, as indicated, by Index Ventures III (Jersey), L.P. ("Jersey"), Index Ventures III (Delaware), L.P. ("Delaware"), or Index Ventures III Parallel Entrepreneur Fund (Jersey) L.P. ("Index PEF"), of which Index Venture Associates III Ltd. ("Index Associates") is the general partner, or Yucca (Jersey) SLP ("Yucca") or Index Ventures Life VI (Jersey) L.P. ("Index VI"), of which Index Associates is an affiliate. Index Associates, Jersey, Delaware, Index PEF, Yucca and Index VI (collectively, the "Index Entities") are members of a "group" for purposes of Section 13(d) of the Exchange Act. This Form 4 is being filed jointly by the Index Entities in connection with the consummation of Egalet Corporation's initial public offering. Each of the Index Entities disclaims beneficial ownership of the securities held of record by any of the other Index Entities, except, in each case, to the extent of their respective proportionate pecuniary interest(s) therein.
The reporting person is Egalet A/S, a corporation. Jersey, Delaware, Index PEF and Yucca are 6.90%, 14.03%, 0.25% and 0.20% equityholders of Egalet A/S, respectively.
These securities are owned by Jersey.
These securities are owned by Delaware.
These securities are owned by Index PEF.
These securities are owned by Yucca
These securities are owned by Index VI.
The Series A-2 Preferred Stock automatically converted into Egalet Corporation common stock on a 1-for-1 basis immediately prior to the consummation of Egalet Corporation's initial public offering.
The Series B Preferred Stock automatically converted into Egalet Corporation common stock on a 1-for-1 basis immediately prior to the consummation of Egalet Corporation's initial public offering.
The Series B-1 Preferred Stock automatically converted into Egalet Corporation common stock on a 1-for-1 basis immediately prior to the consummation of Egalet Corporation's initial public offering.
The warrants were automatically exercised into Egalet Corporation common stock immediately prior to the consummation of the Egalet Corporation's initial public offering on a 1-for-1 basis, pursuant to the securityholders' purchase of a specified minimum amount of common stock in such offering.
The subordinated convertible debt automatically converted into Egalet Corporation common stock immediately prior to the consummation of Egalet Corporation's initial public offering, based on a conversion price equal to 50% of the per share price in such offering, which was $12 per share.
The senior convertible debt automatically converted into Egalet Corporation common stock immediately prior to the consummation of Egalet Corporation's initial public offering, based on a conversion price equal to 50% of the per share price in such offering, which was $12 per share.
By: Stan Musial, Attorney in fact for Index Venture Associates III Ltd.
2014-02-13
By: Stan Musial, Attorney in fact for Index Ventures III (Jersey), L.P.
2014-02-13
By: Stan Musial, Attorney in fact for Index Ventures III (Delaware), L.P.
2014-02-13
By: Stan Musial, Attorney in fact for Index Ventures III Parallel Entrepreneur Fund (Jersey)
2014-02-13
By: Stan Musial, Attorney in fact for Yucca (Jersey) SLP
2014-02-13
By: Stan Musial, Attorney in fact for Index Ventures Life VI (Jersey) L.P.
2014-02-13